NPIMap

Organization Active NPI

Powder Basin Associates Inc

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1679596068
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POWDER BASIN ASSOCIATES INC
Practice address
7905 N Meadowlark Way
Ste C
Coeur D Alene, ID 83815-5041
Phone
(208) 762-3979
Fax
(208) 762-4419
NPI assigned
Jul 26, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynn Moore
Title
Owner
Phone
(208) 676-0472

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

7905 N Meadowlark Way
Ste C
Coeur D Alene, ID 83815-5041

Mailing address

7905 N Meadowlark Way
Ste C
Coeur D Alene, ID 83815-5041
Phone (208) 762-3979

National Provider Directory

National Provider Directory

Locations

140 Railroad Ave
Kellogg, ID 83837
Phone (208) 783-0427

204 Oregon St
Kellogg, ID 83837
Phone (208) 783-0427

105 Pine St
Ste 107
Sandpoint, ID 83864
Phone (208) 255-2950

1203 Michigan St
Ste 1
Sandpoint, ID 83864
Phone (208) 255-2950

135 N 8TH St
St Maries, ID 83861
Phone (208) 245-9076

301 E Sharp Ave
Ste A
Spokane, WA 99202
Phone (509) 328-7352

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1679596068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 N MEADOWLARK WAY",
            "address_2": "STE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155041",
            "telephone_number": "208-762-3979",
            "fax_number": "208-762-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 N MEADOWLARK WAY",
            "address_2": "STE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155041",
            "telephone_number": "208-762-3979",
            "fax_number": "208-762-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWDER BASIN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-676-0472"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.